THANITA THONGTAN

BLOOMINGTON, IN
NPI1558926071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IN  01095800A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IN  01095800A)
390200000X Student in an Organized Health Care Education/Training Program
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-09
Last Update Date2025-10-02
Business Address
THANITA THONGTAN MD
550 S LANDMARK AVE
BLOOMINGTON, IN 47403-3239
Phone number: 812-333-5973
Mailing Address
THANITA THONGTAN MD
5520 LEONARDO DA VINCI STE 100
EDINBURG, TX 78539-1422
Phone number: 956-362-3636